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813- 780-0020 City of Zephyrhills Permit Application Fax - 813780 -0021 <br /> Building Department <br /> R <br /> Date eceived ` f ` O r <br /> Date Re 117 I Phone Contact for Permittin . ,,• 4. ' 31 0 <br /> Owners Name 1 (Oct SA( In Owner Phone Number FATEEMIll <br /> Owners Address I Si I ✓t°ro r • fephy H Ft 3S J Owner Phone Number <br /> Fee Simple Titleholder Name I I I <br /> Owner Phone Number <br /> Fee Simple Titleholder Address (� I <br /> JOB SSJ I wie SAM*r &pryrbiIJ 13s4 J I LOT# I 9 1 <br /> SUBDIVISION 1 C hk I frnt Vi Oki j 1IA 1 PARCEL ID# 11 ,5 - 2 (. 11'0110 ' 0090 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) v <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN <br /> INSTALL REPAIR n n DEMOLISH <br /> PROPOSED USE n SFR n COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME 1 1 STEEL n I I <br /> i <br /> DESCRIPTION OF WORK Urkil *Ake I <br /> BUILDING SIZE I I SQ FOOTAGE I 1 HEIGHT I I <br /> nBU!LDING I$ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> EIELECTRICAL I$ I AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING I 2 11 10 '60 1 <br /> nMECHANICAL I$ I VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA <br /> nYES NO <br /> BUILDER I I COMPANY I I <br /> SIGNATURE <br /> REGISTERED I Y/ N 1 FEE CURREN I Y/ N 1 <br /> Address I 1 <br /> License* <br /> ELECTRICIAN I I COMPANY I I <br /> SIGNATURE REGISTERED Y / N <br /> I I 1 FEE CURREI, I Y/ N 1 <br /> Address <br /> 1 <br /> License* <br /> PLUMBER I I COMPANY I I <br /> SIGNATURE REGISTERED Y / N <br /> I I FEE CURREK I Y/ N 1 <br /> Address <br /> 1 I <br /> License # <br /> MECHANICAL I I COMPANY 1 <br /> SIGNATURE <br /> REGISTERED I Y/ N I FEE CUR/EN I Y/ N 1 <br /> Address ;1 l I <br /> OTHER _t r License* I ' n (� �/ <br /> L. �� COMPANY I ya n S 4cr � .. v 0( <br /> SIGNATURE I <br /> t7 y�� A r — REGISTERED N FEE CURREF I / Y / N 1 <br /> Address 1/ C m4 A )ieni310$ 6L Fi si .j License# 1 r /C I <br /> 111111111111111111111111111I 11111is11111111 11111111111111111 1111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster, Site Worts Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) woddng days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) <br /> Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />